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Clinical STARS Specialist
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Job Description
- Req#: J0VA05235336
Employer Industry: Health Insurance
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Fully remote position, allowing for flexibility in work location
- Supportive and collaborative work environment focused on member care
- Chance to make a positive impact on healthcare quality and member satisfaction
- Engage in meaningful work that aligns with core values of accountability, innovation, and continuous learning
What to Expect (Job Responsibilities):
- Support and maintain outreach initiatives with members and providers
- Educate providers on quality metric guidelines to enhance patient compliance
- Perform accurate data entry in HEDIS software and outreach tracking systems
- Review and maintain medical records for referrals, results, and medical coding
- Conduct record audits at remote provider offices
What is Required (Qualifications):
- High School diploma or equivalent required
- Current Certified/Registered Medical Assistant in the State of Oklahoma or six months of experience in a health plan or quality department required
- Valid state driver's license, reliable personal vehicle, and proof of personal vehicle liability insurance required
- Computer literate and familiar with Microsoft applications (Word, Excel)
- Strong verbal and written communication skills
How to Stand Out (Preferred Qualifications):
- Basic electronic health record knowledge and ability to quickly learn new software
- Detailed knowledge of quality performance measures and clinical healthcare
- Strong organizational and time management skills
#HealthInsurance #RemoteWork #CareerOpportunity #QualityCare #HealthcareJobsAbout the company
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